Interna

Question 1

Immune System of a geriatric patient is characterized by:
=improved response to antigenous stimulation
=no production of auto antigens
=immune-deficit due to malnutrition
=keeping functionality of cell imunity /T-lymphocytes/ on the same level as young people

Answer 1

immune-deficit due to malnutrition

Question 2

An acute state of confusion, which is relatively short and reversible is named: Disorentation
State of anxious hopelessness
Dementia
Delirant state

Answer 2

Delirant state

Question 3

Ageism means:
=giving preferentiality to seniors in the society
= torturing seniors
=increased interest in senior by young people
=discrimination of senior in the society

Answer 3

discrimination of senior in the society

Question 4

Sleeping disorders in the elderly:
do not feature Insomnia
exclude Parasomnia
do not occur in such age
include Hypersomnia

Answer 4

include Hypersomnia

Question 5

Risk factors of immobility do NOT include:
Dementia
Sudden coronary stroke
Uroinfection
Osteoporosis

Answer 5

Uroinfection

Question 6

Potential drug interactions:
they are not important
they are not recognisable
they are not frequent in old people
should be searched for at every visit

Answer 6

should be searched for at every visit

Question 7

Prior to planned surgical operation in is not necessary to stop administering:
ASA
Peroral anticoagulances
NSA
LMWH /low-molecular heparin/

Answer 7

LMWH /low-molecular heparin/

Question 8

Average life expectance is now (Resnick, NM, 2006; Harrison ́s Internal Disease, 16th Edition, Vol I, s. 44):
11 years at age 75
2 years at age 65
5,5 years at age 65
9 years at age 65

Answer 8

11 years at age 75

Question 9

Certain features of the examination should receive special attention, depending in part on clues from the history:
=pts (patients) who fall should not be observed standing up from a chair, bending down, reaching up, walking 3 m, turning, returning, and sitting again
= weigt and postural BP should be measured at most visits; vison and hearing should by
checked (cerumen!), the systolic murmur of aortic sclerosis is common and may be difficult to differentiate from aortic stenosis
=In pts with urinary incontinence-especialy men-a distended bladder must not be looked for since it may be the only finding in urinary retention
=is not importan

Answer 9

weigt and postural BP should be measured at most visits; vison and hearing should by
checked (cerumen!), the systolic murmur of aortic sclerosis is common and may be
difficult to differentiate from aortic stenosis

Question 10

Disease presentation in the elderly is:
=often atypical, especially in those > 65 old; because of increased physiologic reserve, older patients often develop symptoms at an later stage of their desease; there are usually single abnormality amenable to treatment, and large improvements in eac
=often typical, especially in those > 80 old; because of increased physiologic reserve, older patients often develop symptoms at an later stage of thier disease; there are usually single abnormality amenable to treatment, and large improvements in each
=often atypical, especially in those > 90 old; because of decreased lphysiologic reserve, older patients often develop symptoms at an later stage of their disease; there are usually single abnormality amenable to treatment, and large improvements in ea
= often atypical, especially in those >70 to 80 old; because of decreased physiologic
reserve, older patients often develop symptoms at an earlier stage of thier disease; there are usually multiple abnormalities amenable to treatment, and small improvem

Answer 10

often atypical, especially in those >70 to 80 old; because of decreased physiologic
reserve, older patients often develop symptoms at an earlier stage of thier disease; there are usually multiple abnormalities amenable to treatment, and small improvem

Question 11

Some select physiologic changes (or consequences) age related of important organs systems in gastrointestinal:
increase colonic motility
increase anorectal function
decrease gastric acidity
increase hepatic function

Answer 11

decrease gastric acidity

Question 12

Some select physiologic changes (or consequencs) age related of important organs systems in cardiovascular:
=↑ baroreceptor sensitivity and ↑ SA automacity
= syncope, atrial fibrillation, heart block, heart failure
=↑ arterial compliance and ↓ systolic BP
=↑ ß-adrenergic responsiveness

Answer 12

syncope, atrial fibrillation, heart block, heart failure

Question 13

. Average disability-free remaining at men/women in 75-80 yers is (Katz S et.al: N Engl J Med 309:1218:, 1983):
3/3
8/8
7/7
9/11

Answer 13

7/7

Question 14

Some select physiologic changes (or consequences) age related of important organs systems in nervous:
=↑ righting reflesex, ↑ stages 4 sleep, better thermal regulation
= brain atrophy, ↓ brain catechol synthesis, ↓ brain dopaminergic synthesis
= decrease incidence of delirum and depression
= none Parkinsone disease, none falls

Answer 14

brain atrophy, ↓ brain catechol synthesis, ↓ brain dopaminergic synthesis

Question 15

Changes in the Blood Circulation System of a geriatric patient are chracterized by:
keeping elasticity of arteries
increased blood flow through all organs
worsening the Left Ventricle ́s flexuosity
lowering burden on the Left Ventricle

Answer 15

worsening the Left Ventricle ́s flexuosity

Question 16

Many finding that are abnormal in younger patients are relatively:
= common in older people e.g., bacteriuria, premature ventricular contractions, low bone mineral density, impaired glucose tolerance, and uninhibited bladder contractions
=infrequency in older people e.g., bacteriuria, premature ventricular contractions, low bone mineral density, impaired glucose tolerance, ang uninhibited bladder contractions
=extraordinary in older people e.g., bacteriuria, premature ventricular cintractions, low bone mineral density, impaired glucose tolerance, and uninhibited bladder contractions
=sometimes in older people e.g., bacteriuria, premature ventricular contractions, low bone mineral density, impaired glucose tolerance, and uninhibited bladder contractions

Answer 16

common in older people e.g., bacteriuria, premature ventricular contractions, low bone mineral density, impaired glucose tolerance, and uninhibited bladder contractions

Question 17

Most important anatomic and functional changes CVS in old age:
= number of pacemaker ́s cells ↓, number of contractile cardiomyocytes ↓
= interstitial connective tissue
= calcification of the heart fibrous tissue ↓, collagem in the aorta wall and a great arteries ↓
= density of adrenergic beta-receptors ↑

Answer 17

number of pacemaker ́s cells ↓, number of contractile cardiomyocytes ↓

Question 18

Serum kreatinine in old people is:
= is briliant index of renal function
= is not a good index of renal function, however, when is elevated, special care must be taken with the administration of drugs normaly excreted by the kidneys
= is a good index of renal disease
= is not a good index of renal function, howeevr, when is elevated concentrations of
relevant antibiotics should not be measured directly

Answer 18

is not a good index of renal function, however, when is elevated, special care must be taken with the administration of drugs normaly excreted by the kidneys

Question 19

Even beyong age 85 (Resnick NM, Dosa D, 2006, in 16th Edithin Harrison ́s Internal disease, Vol. I):
= only 20% of people are impaired in any activitity required for daily living and only 30% reside in a nursing home
= only 5 % of people are impaired in any activitity required for daily living and only 5 % reside in a nursing home
= only 10% of people are impaired in any activitity required for daily living and only 10% reside in a nursing home
= only 30% of people are impaired in any activitity required for daily living and only 20% reside in a nursing home

Answer 19

only 30% of people are impaired in any activitity required for daily living and only 20% reside in a nursing home

Question 20

Evaluation of the older patient (pt) can:
=be time-consuming, even i tis tailored to the problem
=observing the pt dress or undress can not enhance detection of impaired cognition, fine motor skills, balance, and judgment
=initial investment can not reduce subsequent morbidity and resource utilization
=assessment can nit often be accomplished over several visits (gleaned from
questionnaires filled oud by patient-or caregiver) as well as from observation

Answer 20

be time-consuming, even i tis tailored to the problem

Question 21

During nasal provocation test we evaluate:
symptom score and rhinomanometry together
only rhinomanometry
only symptom score
rhinomanometry and acoustic rhinometry together

Answer 21

symptom score and rhinomanometry together

Question 22

Pneumoconiosis is generally diagnosed using the following examination method: =only chest X-ray
= a combination of: occupational history, clinical symptoms, a physical examination, pulmonary function tests, chest X-ray, HRCT scan of the chest, in special case bronchoscopy and lung biopsy
=only bronchoscopy with lung biopsy
=only occupational history

Answer 22

a combination of: occupational history, clinical symptoms, a physical examination,
pulmonary function tests, chest X-ray, HRCT scan of the chest, in special case
bronchoscopy and lung biopsy

Question 23

Among the typical occupational cancer belongs:
brain cancer
pleural mesothelioma
colorectal cancer
pancreatic cancer

Answer 23

pleural mesothelioma

Question 24

EU Safety and Health at Work are include in:
directive
recommendation
regulation
opinion

Answer 24

directive

Question 25

The most typical occupation with the high risk of vocal cords disorders is: pharmacist manager physician teacher

Answer 25

teacher

Question 26

The most common etiological factors of occupational rhinitis belongs: coal dust isopropyl alcohol silica dust flour

Answer 26

flour

Question 27

X-ray shadows of small opacities (under 1 cm) accord to International Labour Office Standardisation (ILO) are index: RU, RM, RL A, B, C Sij, Sil, Sitbc p, q, r

Answer 27

p, q, r

Question 28

Typical chest X-ray signs of simple silicosis are: =enlargement of lymph nodes =presence of large conglomerate opacities (shadows with diameter higher than 10 mm) =pleural adhesions =generally pattern of small and round opacities (shadows with diameter less than 10 mm)

Answer 28

generally pattern of small and round opacities (shadows with diameter less than 10 mm)

Question 29

Carpal tunnel syndrome treatment include: endoscopic surgery local pain killers (e.g. procain injection) myorelaxans vasodilatators (e.g. calcium channel blockers)

Answer 29

endoscopic surgery

Question 30

Early, localized infection of Lyme disease is characterized by: migrant polyarthralgia localized scleroderma erythema migrans Lyme polyradiculitis

Answer 30

erythema migrans

Question 31

Neer test is present during: impingement syndrome of upper extremities acute vein thrombosis isolated ischemic damage of nerve fibres chronic epicondylitis

Answer 31

impingement syndrome of upper extremities

Question 32

Typical etiological agent for cancer of the nose and paranasal sinuses is: hard wood dust asbestos soft wood dust radon

Answer 32

hard wood dust

Question 33

Mechanism of plethysmography is in: =measurement of carbon dioxide in tissue =scanning of electrical potentials from muscle activity =measurement of capillary volume changes =measurement of capillary return

Answer 33

measurement of capillary volume changes

Question 34

Gold standard in diagnosis of TBC is: Quantiferon test blood count Mantoux II typical history of night fever

Answer 34

Quantiferon test

Question 35

Kussmal trias is clinical manifestation as: =stomatitis, eretismus and tremor =polyneuropathy, stomatitis and renal colic =inadequate laugh, euphory, aggressiveness =abdominal colic, grey border on gum and polyneuropathy

Answer 35

stomatitis, eretismus and tremor

Question 36

Occupational disease from long-term, overused and one-side load affect: heart lung extremities CNS

Answer 36

extremities

Question 37

Etiological factor for liver angiosarcoma is: ionizing radiation polyvinyl chloride asbestos hard wood

Answer 37

polyvinyl chloride

Question 38

The higher EU-27 labour force works at domain: services constructing industry mining agriculture

Answer 38

services

Question 39

Typical X-ray signs of complicate silicosis are: =bronchiectasis =along generalised nodulation presence of shadows with diameter higher than 10 mm =pleural adhesions generalised nodulation (shadows with =diameter less than 3 mm)

Answer 39

along generalised nodulation presence of shadows with diameter higher than 10 mm

Question 40

Raynaud phenomena is not component part of: hand arm vibration syndrome rheumatic fewer systematic lupus erythematosus syndrome of upper thoracic aperture

Answer 40

rheumatic fewer

Question 41

Some select physiologic changes (or consequences) age related of important organs systems in hematologic/immune: =polycythemia =↑ bone marrow reserve =↓ autoantibodies = anemia, autoimmune diseases

Answer 41

anemia, autoimmune diseases

Question 42

Part of the elderly regularly use nonprescribed drugs, many of which cause significant symptoms and/or interact with other medications: nearly three-quarters 1 one third 10%

Answer 42

nearly three-quarters

Question 43

Study HYVET was prematurely ended (before ending follow up in sub-study of cognitive function). In spite of that HYVET demonstrated: =substantly increase incidence of dementia cases by active theapy =increase incidence of dementia cases by active therapy =tendency to reduce incidence of dementia cases by active therapy = none answer

Answer 43

tendency to reduce incidence of dementia cases by active therapy

Question 44

Frequent of the elderly use nonsteroidal anti-inflammatory drugs (NSAIDs), which: can make stopping of GI bleeding can make better control of arterial hypertension are bening can hamper control of AH in addition to causing renal dysfunction and GI bleeding

Answer 44

can hamper control of AH in addition to causing renal dysfunction and GI bleeding

Question 45

Insomnia is: somatic, not caused by pain iatrogenous, is associated with taking some medicine not associated with depression Parasomnia ́s equivalent

Answer 45

iatrogenous, is associated with taking some medicine

Question 46

Is recommended for presciption some pharmacological drugs: =Cyclooxygenase 2 (COX-2) inhibitors are not safer than nonselective NSAIDs for older adults =COX-2 inhibitors can not cause fluid retention with consewuent worsening of hypertension =Each of these agent should be avoided in the elderly: of the NSAIDs, indomethacin is most likely to induce confusion fluid retention, and GI bleeding. Both propoxyphene and meperidine are not associated with a disproportionate risk of delirium, and p =COX-2 inhibitors can not cause nocturnal incontinence

Answer 46

COX-2 inhibitors can not cause nocturnal incontinence

Question 47

Immobilization Syndrome is associated with: =hypoventilation and developing pneumonia =hypertension =reducing risk of developing thrombo-embolia =improving movement coordination

Answer 47

hypoventilation and developing pneumonia

Question 48

Fundamental pathophysiologic features of hypertension in the elderly: ↓ production of PG, R All ↑ excretion potency capacity of Na renal elimination structual changes of vessels ( ↑ rigidity, ↓ compiance) lower incidence of atherosclerosis

Answer 48

structual changes of vessels ( ↑ rigidity, ↓ compiance)

Question 49

For several reasons, older pts are 2 or 3 times more likely to have adverse drug reactions. Why? =increase in proten binding of some drugs =serum albumin levels increase =increase in total-body water and relative decrease in body fat = drug celarence is often markedly reduced, volume of distribution of drugs is also affected

Answer 49

drug celarence is often markedly reduced, volume of distribution of drugs is also affected

Question 50

The highest pre-operation risk in the elderly is represented by: surgical remival of cataract operating on abdomen /laparotomy operations on big arteries orthopedic operations on big joints

Answer 50

operations on big arteries

Question 51

Hypertension Crisis in old age is a serious issue in which: =Coronary Stroke risk is not elevated =BP has to be reduced, not necessarily brought to the normal =BP is lowered quickly, administration of captoprite is not appropriate =BP has to be brought to the normal

Answer 51

BP has to be reduced, not necessarily brought to the normal

Question 52

Which form of Hypertension is the most common in elderly population? Secondary Hypertensions Isolated Systolic Hypertension Orthostatic Hypotension Isolated Diastolic Hypertension

Answer 52

Isolated Systolic Hypertension

Question 53

Some select physiologic changes (or consequences) age related of important organs systems in renal: ↑ GFR impaired excrettion of some drugs, ↑ Serum creatinine none nocturia, none disturbances metabolism of Na ↑ urinae concentration/dilution

Answer 53

impaired excrettion of some drugs, ↑ Serum creatinine

Question 54

Some select physiologic changes (or consequences) age related of important organs systems in eyes and ears: =decrease susceptibility of glare =better accomodation =improvement high-frequence acuity =presbyopia, lens opacification

Answer 54

presbyopia, lens opacification

Question 55

HYVET Study (HYpertension in Very Elderly Treatment) evidence. Impact of active AH therapy on total mortality in old patients (in age 80 yers and more): =results of Study HYVET provide a confirmation, that AH treatment in elderly individuals ? 80 yrs isnot beneficial =21% reduction of heart failure =64 % reduction of total mortality, 30 % reduction of all stroke =21% reduction of total mortality, 30 % reduction of all stroke, 64% reduction of heart failure

Answer 55

21% reduction of total mortality, 30 % reduction of all stroke, 64% reduction of heart failure

Question 56

Impingement syndrome of shoulders cannot be diagnosed: MRI examination ultrasonography X-ray arthroscopy

Answer 56

arthroscopy

Question 57

Lead intoxication symptom is: abdominal colics insomnia fatigue headache

Answer 57

abdominal colics

Question 58

Deaths attributed by occupational risks is higher at: middle income countries low income countries high income countries does not depend on GDP of countries

Answer 58

low income countries

Question 59

Into occupational disease from long-term, overused and one-side load of upper extremities do not belong: osteoarthrosis generalised carpal tunnel syndrome impingement syndrome of upper extremities epicondylitis radialis humeri

Answer 59

osteoarthrosis generalised

Question 60

Organophosphates intoxication is manifested by =cholinergic, muscarinic syndrome =anticholinergic syndrome =severe colic abdominal pain (saturnine colic) =sympathomimetic syndrome

Answer 60

cholinergic, muscarinic syndrome

Question 61

Pneumoconiosis are lung diseases following: inhalation of infection particles mineral oils inhalation of organic dust (e.g. grain) inhalation of mineral dust

Answer 61

inhalation of mineral dust

Question 62

Most common musculoskeletal and neurological occupational diseases is: cubital tunnel syndrome carpal tunnel syndrome ulnar epicondylitis radial epicondylitis

Answer 62

carpal tunnel syndrome

Question 63

Raynaud syndrome is the present of: ischemic heart disease arterial hypertension Takayasu ́s disease hand arm vibration syndrome

Answer 63

hand arm vibration syndrome

Question 64

An effective vaccination is available against: Hepatitis B AIDS Hepatitis C avian flu

Answer 64

Hepatitis B

Question 65

In nonspecific bronchoconstriction test and nasal provocation test we apply: nonspecific chemical substances from workplace physiological solution histamine an allergen

Answer 65

histamine

Question 66

The first choice in pharmacological treatment of Raynaud syndrome are: calcium channel blockers beta-blockers diuretics alpha-blockers

Answer 66

calcium channel blockers

Question 67

Which of the following intoxication occur most frequently: drug intoxication mushroom intoxication carbon monoxide intoxication pesticides intoxication

Answer 67

drug intoxication

Question 68

Hypersensitivity pneumonitis is caused by repeated inhalation of antigens: organic dust particles air pollution cigarette smoke anorganic mineral dust particles

Answer 68

organic dust particles

Question 69

The most frequent etiological factor of lung cancer in miner is: ionizing radiation heavy water (D2O) coal dust tar

Answer 69

ionizing radiation

Question 70

Which disorder of vocal cords is voice neurosis? =severe vocal cord insufficiency =nodules of vocal cord =serious hyperkinetic dysphonia =severe phonaesthesia

Answer 70

severe phonaesthesia

Question 71

Objective of Study HYVET-COG was: =to determine whether =to determine whether treatment of arterial hypertension in patients ?80s would reduce the incidence of Vascular dementia = to determine whether treatment of arterial hypertension in patients ?80s wouldreduce the incidence both, Vascular dementia Alzheimer ́s Disease =to determine whether treatment of arterial hypertension in patients ? 80s would reduce the incidence of Alzheimer Disease

Answer 71

to determine whether treatment of arterial hypertension in patients ?80s wouldreduce the incidence both, Vascular dementia Alzheimer ́s Disease

Question 72

If nonpharmacologic treatment of insomnia is unsuccessful, may be usefull: =benzodiazepines =Ginko biloba, increasingly used as a „memory booster“ =low-dose and short-term or intermittent use of an intermediate-acting whose metabolism is no affected by age (e.g., oxazepam, mg/d) may be useful =a tricyclic antidepressant

Answer 72

low-dose and short-term or intermittent use of an intermediate-acting whose metabolism is no affected by age (e.g., oxazepam, mg/d) may be useful

Question 73

Geriatrics ́ main task as branch of medicine is to: =provide nursing care about long term ill patients who have lost their independence = provide diagnostics and treatment of acute reversible illnesses with focus on restoring and retaining independence =provide social care about long term ill patients who have lost their independence =to substitute for nursing and social services

Answer 73

provide diagnostics and treatment of acute reversible illnesses with focus on restoring and retaining independence

Question 74

Nearly three-quarters of the elderly regularly use nonprescribed drugs, many of which cause significant symptoms and/or interact medications. Frequent ofenders include nonprescribed agents for insomnia ( most of which are anticholinergics),and nonsteroidal: =antiinflammatory drugs (NSAIDs), =which can hamper control of AH in addition to causing renal dysfunction and GI bleeding =which never can hamper control of AH in addition to causing renal dysfunction and GI bleeding =which can improve control of AH in addition to causing renal dysfunction and GI bleeding which can not affect control of AH in addition to causing renal dysfunction and GI bleeding

Answer 74

which can hamper control of AH in addition to causing renal dysfunction and GI bleeding

Question 75

Which are the most favourable antihypertensive drugs in the elderly? =Beta-blockers =Calcium Antagonists =ACE-inhibitors =Alfa-Blockers and Digoxin

Answer 75

Calcium Antagonists

Question 76

Some select physiologic changes (or consequences) age related of important organs systems in musculoskeletal: =↑ lean body mass, muscle = none changes = better bone density = functional impairment, osteopenia, hip fracture

Answer 76

functional impairment, osteopenia, hip fracture

Question 77

Pharmacotherapy of geriatric patients is characterized by: =good patient ́s compliance =incidence of poly-pragma =the fact that good renal clearance for drugs is usually remained =low number of drug interaction in poly-morbidity

Answer 77

incidence of poly-pragma

Question 78

In addition to impaired drug clearence, which alters pharmacokinetics, older patients (pts) have altered responses to similar serum levels (a phenomen knownas altered pharmacodynamics). They are: =less sensitive to some drugs (e.g., opiates, antikoagulans) and more sensitive to others (e.g., ß-adrenergic agents) =non sensitive to some drugs (e.g., opiates, antikoagulans) and less sensitive to others (e.g., ß-adrenergic agents) =extremly sensitive to some drugs (e.g., opiates, antikoagulans and more sensitive to others (e.g., ß-adrenergic agents) = more sensitive to some drugs (e.g., opiates, antikoagulans) and less sensitive to others (e.g., ß-adrenergic agents)

Answer 78

more sensitive to some drugs (e.g., opiates, antikoagulans) and less sensitive to others (e.g.,ß-adrenergic agents)

Question 79

Psychosis (inadequate laugh, euphoria, impulsive negotiation, mixed-upness, aggressively, hallucinations) occurs intoxication Zn Mn Cr Pb

Answer 79

On

Question 80

In the diagnosis of dermatosis it is possible to use (select the most appropriate claim): specific IgE antibodies epicutaneous tests skin prick tests all claims are correct

Answer 80

epicutaneous tests

Question 81

Gold standard in the diagnostic algorithm of occupational asthma is: detection of increased eosinophils in blood bronchodilatation test skin prick tests specific bronchoconstriction test

Answer 81

specific bronchoconstriction test

Question 82

Between complications of pulmonary asbestosis do not belong: lung hypertension mesothelioma lung abscess pulmonary fibrosis

Answer 82

lung abscess

Question 83

Causal drug for treatment of silicosis is: inhalation corticosteroids cyclosporine we don't know causal drug ß2 - mimetics

Answer 83

we don't know causal drug

Question 84

Which metal is not neurotoxic: Cr Hg Pb As

Answer 84

Cr

Question 85

Methacholine bronchoconstriction test is positive, if FEV1 will fall minimally ... of its basal value: 8% 12% 10% 20%

Answer 85

20%

Question 86

Relative short latency period (often 3 – 5 years) between the exposition to carcinogen and manifestation of cancer we can see liver angiosarcoma leukaemia lung cancer mesothelioma

Answer 86

leukaemia

Question 87

some select physiologic changes (or consequences)age related of important organs systems in respiratory: =increased cough reflex =increased chest wall stiffness =increased lung elasticity =increased microaspiration, aspiration pneumonia, dysponea, hypoxia

Answer 87

increased microaspiration, aspiration pneumonia, dysponea, hypoxia

Question 88

Thus, adverse drug reactions and dosage errors are: =more likely to occur, especially if the patient has visual, hearing or memory deficit =rare to occur =not to occur, especially if the patient has visual, hearing or memory deficit =occasionally to occur

Answer 88

more likely to occur, especially if the patient has visual, hearing or memory deficit

Question 89

3rd degree AV block in the eldery should be treated by: Amiodarone implantation of a cardio stimulator prokain digoxin and beta-blockers

Answer 89

implantation of a cardio stimulator

Question 90

Typical history in the case of occupational asthma is: =worsening of symptoms during the pollen season =pesistence of severe dyspnoea despite the application of a bronchodilator =exacerbation of symptoms at work with remission during weekend and vacation =usually only mild bronchial hyperreactivity in comparing to non occupational asthma

Answer 90

exacerbation of symptoms at work with remission during weekend and vacation

Question 91

the international agency for research on cancer categorizes agents, mixtures and exposures on basic of evidence of carcinogenity in: =3 groups (carcinogen, possible carcinogen or non-carcinogen) =4 groups (group 1- carcinogenic to human, group 2- probably carcinogenic to human, group 3- non-classified, group 4- probably noncarcinogenic to human) =5 groups = 2 groups(carcinogen or non-carcinogen)

Answer 91

4 groups (group 1- carcinogenic to human, group 2- probably carcinogenic to human, group 3- non-classified, group 4- probably noncarcinogenic to human)

Question 92

Radon is: X-ray emitter alpha emitter gamma emitter beta emitter

Answer 92

alpha emitter

Question 93

Work exacerbated asthma is: =asthma that is made worse, but was not initially caused, by workplace conditions =typical occupational disease =variant of occupational asthma =asthma, that is due to sensitization to flour

Answer 93

asthma that is made worse, but was not initially caused, by workplace conditions

Question 94

Which occupational oncological disease often occurs due to the exposition to benzene? cancer of paranasal sinuses leukaemia lung cancer mesothelioma

Answer 94

leukaemia

Question 95

Tinel sign is present at: encephalopathy carpal tunnel syndrome radial epicondylitis polyneuropath

Answer 95

carpal tunnel syndrome

Question 96

pneumoconiosis cannot be caused by: asbestos iron coal dust silica

Answer 96

Iron

Question 97

Into definition of occupational health do not blongs: safety at work occupational disease genetic predisposition of some work aggraveted diseases

Answer 97

genetic predisposition of some work aggraveted diseases

Question 98

occupational hygiene take care on: A.occupational enviroment B. occupational diseases C. injuries at work

Answer 98

A.occupational enviroment

Question 99

Most common risk at work is: noise vibration biological factors

Answer 99

noise

Question 100

in case of loudness risk we can talk if there is average of noise at work over: 130 dB 85dB 100dB

Answer 100

85dB

Question 101

in case of loudness risk we can talk if there is average of noise at work over: 130 dB 85dB 100dB

Answer 101

85dB

Question 102

under the item of occupational disease’s list. Other disorders from work we can report: low back pain lung cancer ischaemic hearth disease

Answer 102

low back pain

Question 103

Chronic epicondylitis can be conclude by: x-ray EMG EEG

Answer 103

Xray

Question 104

A typical feature of asthma is the daily variability of PEF: 10% 15% 20%

Answer 104

20%

Question 105

Bronchodilatation test id positive, if FEV1 will increase: 8% 12% 20%

Answer 105

12%

Question 106

Functional examination method of upper airways is: nasal lavage rhinomanometry rhinoscopy

Answer 106

rhinomanometry

Question 107

Decubities are parts of picture of: Immobilization syndrome Decubity syndrome Hyperventilation syndrome Orthostatic syndrome

Answer 107

Immobilization syndrome

Question 108

Which tools are used to assess mental state of geriatric patient: Barthels test MMSE Folsteins test Test of independence

Answer 108

MMSE

Question 109

Typical feature of geriatric patients illness development is =Extremely febrile development of inflammation diseases =Extremely painful development of muocardial ischemia =Absence of claudicational or anginous pain in patients with osteoarhrosis of lower limbs =Rare loss of independence and development of amently childish states

Answer 109

Absence of claudicational or anginous pain in patients with osteoarhrosis of lower limbs

Question 110

select physiologic changes age related of important organs systems in general: decrease body fat and increase total body water =increase body fat and decrease total body water only decrease total body water only reduction body fat

Answer 110

increase body fat and decrease total body water

Question 111

To health chemical hazards at the work belongs Gases Stress Viruses Noise

Answer 111

Gases

Question 112

To the most frequently reported occupational skin diseases belong Skin tuberculosis Solar dermatitis Contact allergic dermatitis Anthrax of skin

Answer 112

Contact allergic dermatitis

Question 113

In older patients = Digitales, procainamide and quinidine have prolonged half-lives, narrow therapeutic windows =Toxicity digitales, procainamide and quinidine is very low at the usual dosages =Digoxin toxicity, especially anorexia, confusion, or depression can not occur with therapeutic digoxin levels =Procainamide, and quinidine are absolutely safe drugs

Answer 113

Digitales, procainamide and quinidine have prolonged half-lives, narrow therapeutic windows

Question 114

Lithium is indicated In the treatment of the rheumatological patients In the treatment of the psychiatric patients In the treatment of the patients with respiratory diseases In the treatment of the hematological patients

Answer 114

In the treatment of the psychiatric patients

Question 115

Most common occupational diseases are Musculoskeletal diseases Cancers Infections Respiratory diseases

Answer 115

Musculoskeletal diseases

Question 116

Finally the older patients with multiple chronic condition: is likely to be taking only one single drugs is likely to be taking any drugs, any nonprescribed agents is likely to be taking only prescribed agents is likely to be taking severant drugs, include nonprescribed agents

Answer 116

is likely to be taking severant drugs, include nonprescribed agents

Question 117

International labour Organization and World Health Organization definition of Occupational Health is: =control of occupational disease = the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations =checkup of the employees =measuraments of risk factors at work

Answer 117

the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations

Question 118

some select physiologic changes age related of important organ system in genitourinary: =vagina/urethral mucosal atrophy, prostatae enlargement =non disturbances of residual urine volume, urinary incontinence na durinary retention =decrease urinae volume =none dyspareunia, bacteriuria, sympotomatic UTI

Answer 118

vagina/urethral mucosal atrophy, prostatae enlargement

Question 119

Which pathogenic agent is able to cause an infection of Q fever? A. coxiella burnetii B. borrella burgdoferi C. Rickttesia D.TBC

Answer 119

A. coxiella burnetii

Question 120

one of the occupational disease that we can report: =herniation of lumbar disc with radicular syndrome =affection of lumbar, cervical and thoracic spine together =scoliosis =disorder of spine is not occupational disease, because it is civilisation illness

Answer 120

herniation of lumbar disc with radicular syndrome

Question 121

Role and tasks of Occupational Health Services is not: =contributing to occupational rehabilitation and treatment of occupational diseases =identification, assessment and control of the risks from health hazards at work =providing training and education of occupational risks and first aid =check up of workers specifically to risk factors of atherosclerosis

Answer 121

check up of workers specifically to risk factors of atherosclerosis

Question 122

Latent tuberculosis infection can be confirmed by: =tubercolin skin test and interferon gamma release assays test =CRP =procalcitonin =blood count

Question 123

occupational lung cancer is the most frequently induced by: asbestos benzene dust from hard wood radiation

Answer 123

asbestos

Question 124

The most frequent occupational cancer is: =leukaemia =cancer of urinary bladder =lung cancer =cancer of paranasal sinuses

Answer 124

lung cancer

Question 125

some select physiological changes age related of importat organs systems in gastrointestinal: =anorectal continecy =increased Ca2+ absorptikon on empty stomach =cirrhosis, delayed metabolism of some drug, fecal impaction =none osteoporosis non vitamine B12 deficiency non costipation

Answer 125

cirrhosis, delayed metabolism of some drug, fecal impaction

Question 126

byssinosis is characteristic : =is an occupational respiratory disease associated with inhalation of cotton,flax or hernp dust =in present it is very frequent occupational disease in industrialized European countries =is form of occupational asthma =the symptoms are the worst at the end of working week

Answer 126

is an occupational respiratory disease associated with inhalation of cotton,flax or hernp dust

Question 127

Anemia, neutropenia, thrombocytopenia is typical for: =osteoarthritis =dermatomyositis =gouty arthritis =systemic lupus erythematous

Answer 127

systemic lupus erythematous

Question 128

.Back pain can be caused by: Inflammation all the above mentioned disc disease congenital malformation

Answer 128

all the above mentioned

Question 129

Dermatomyositis is often associated with: pseudohypertrophia of muscle uveitis malignoma typhus infection

Answer 129

malignoma

Question 130

International labour organization estimates annually world widely =over 15% of the annual GDP by direct and indirect costs of occupational accident =over 50 million deaths from work-related accidents =1,95 million fatal work related disease =less than 100.000 fatal accidents at work

Answer 130

1,95 million fatal work related disease

Question 131

RAIDS (reactive airway disfunction syndrome) is: non accepted as occupational disease induced by work place allergens chronic form of occupational asthma acute form of limitant occupational asthma

Answer 131

acute form of limitant occupational asthma

Question 132

Which form om hypertension is the most common in elderly population Isolated systolic hypertension Isolated diastolic hypertension Orthostatic hypertension Secondary hypertension

Answer 132

Isolated systolic hypertension

Question 133

An acute state of confusion, which is relatively short and reversible is named Dementia Disorientation Deliriant state State of anxious hopelessness

Answer 133

Deliriant state

Question 134

Decubities are parts of picture of Immobilization syndrome Decubity syndrome Hyperventilation syndrome Orthostatic syndrome

Answer 134

Immobilization syndrome

Question 135

Ageism means Giving preferentiality to seniors in the society Discrimination of seniors in the society Increased interest in seniors by young people Torturing seniors

Answer 135

Discrimination of seniors in the society

Question 136

Sleeping disorders in the elderly Exclude parainsomnia Include hypersomnia Do not feature insomnia Do not occur in such age

Answer 136

Include hypersomnia

Question 137

Insomnia is Somatic, not caused by pain Not associated with depression Introgenous, is associated with taking some medicine Parainsomnia equivalent

Answer 137

Introgenous, is associated with taking some medicine

Question 138

Which are the most favourable antihypertensive drugs in the elderly Beta-blockers Calcium antagonists Alfa-blockers and digoxin ACE inhibitors

Answer 138

Calcium antagonists

Question 139

Hypertension crisis in the old age is a serious issue in which =BP has to be brought to the normal =BP has to be reduced, not necessarily brought to the normal =Coronary stroke risk is not elevated =BP is lowered quickly, administration of caproprite is not appropriate

Answer 139

BP has to be reduced, not necessarily brought to the normal

Question 140

3rd Degree AV Block in elderly should be treated by Digoxin and beta-blockers Amiodarone Prokan Implantation of cardio stimulator

Answer 140

Implantation of cardio stimulator

Question 141

Which tools are used to assess mental state of geriatric patient Barthels test MMSE Folsteins test Test of independence

Answer 141

MMSE

Question 142

Geriatrics main task as branch of medicine is to =Provide nursing care about long term ill patients who have lost their independence =Provide social care about long term ill patients who have lost their independence =Provide diagnostics and treatments of acute reversible illnesses with focus on restoring and retaining independence =To substitute for nursing and social services

Answer 142

Provide nursing care about long term ill patients who have lost their independence

Question 143

We refer to a geriatric patient as one at the age of 65 and higher 70 and higher 75 and higher 80 and higher

Answer 143

65 and higher

Question 144

Immune system of a geriatric patient is characterized by =Improved response to antigenous stimulation =Keeping functionality of cell immunity T-lymphocytes on the same level as young people =Immune deficit due to malnutrition =No production of auto antigens

Answer 144

Immune deficit due to malnutrition

Question 145

Changes in the blood circulation system of a geriatric patient are characterized by Increased blood flow through all organs Keeping elasticity of arteries Lowering burden on the left ventricle Worsening left ventricle flexuosity

Answer 145

Worsening left ventricle flexuosity

Question 146

Typical feature of geriatric patients illness development is =Extremely febrile development of inflammation diseases =Extremely painful development of muocardial ischemia =Absence of claudicational or anginous pain in patients with osteoarhrosis of lower limbs =Rare loss of independence and development of amently childish states

Answer 146

Extremely febrile development of inflammation diseases

Question 147

Pharmacotherapy of geriatric patients is characterized by Incidence of poly-pragma Low number of drug interaction in poly morbidity Good patients compliance The fact that good renal clearence for drugs is usually remained

Answer 147

The fact that good renal clearence for drugs is usually remained

Question 148

Immobilization syndrome is associated with Reducing risk of developing thromboembolus Hyperventilation and developing pneumonia Hypertension Improving movement coordination

Answer 148

Hyperventilation and developing pneumonia

Question 149

Risk factors of immobility do NOT include Osteoporosis Uroinfection Sudden coronary stroke Dementia

Answer 149

Dementia

Question 150

Prior to planned surgical operation it is not necessary to stop administering ASA Peroral anticoagulants NSA LMWH / low weight molecular heparin

Answer 150

LMWH / low weight molecular heparin